How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $60.26 Median $169.82 Typical High $204.17 | Facility | None | $60.26 | $169.82 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $138.04 | Professional | None | $56.23 | $60.26 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $134.90 Typical High $245.47 | Facility | None | $109.65 | $134.90 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $147.91 | Professional | None | $46.77 | $64.57 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $45.71 Typical High $61.66 | Professional | UE · Used equipment | $41.69 | $45.71 | $61.66 |
Aultcare Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $112.20 | Facility | None | $56.23 | $85.11 | $112.20 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $181.97 | Professional | None | $102.33 | $151.36 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $74.13 | Facility | None | $70.79 | $70.79 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $74.13 | Facility | None | $70.79 | $70.79 | $74.13 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $67.61 | Professional | None | $51.29 | $61.66 | $67.61 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $112.20 | Professional | None | $60.26 | $83.18 | $112.20 |
SummaCare Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $186.21 | Professional | None | $114.82 | $125.89 | $186.21 |
United Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $154.88 | Facility | None | $52.48 | $67.61 | $154.88 |
United Setting Professional Modifier None Typical Low $38.02 Median $56.23 Typical High $81.28 | Professional | None | $38.02 | $56.23 | $81.28 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | RR · Rental | $7.24 | $7.24 | $7.24 |
Where Ohio sits
The same service costs 2.8 times more in Wyoming than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Ohio· 36th of 51
$67.61
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.